Getting to Know YOU SurveyBasic “About Me” Information

Full Name: __________________________________________

Birthplace: _________________________________________

Languages: _________________________________________

____________________________________________________

Name of last English teacher ________________________

Last year’s final English grade = ________

I have ______(#) people who live with me.

I have ______(#) close friends.

I have a pet. It is a ___________ named _______________

I don’t have a pet but I’d like a ______________________

Two adjectives others might use to describe me:

Interests/Activities/Sports/Online

My clubs/teams: ___________________________________________________________

Three activities or sports in which I participate (Note: “sleep” ≠ activity).

(1) _______________________________

(2) _______________________________

(3) _______________________________

Fav school subject: ______________________

Last movie I saw: ________________________

Last novel read: _________________________

Musician I like: __________________________

Fav video game: _________________________

My go-to social media and apps are:Habits

It usually takes me _________________ (time) to get from home to Hamber.

My mode(s) of transportation from home to Hamber is/are: _________________________________________________

On school nights I typically get _____________(hours/min) of sleep. While I sleep at night, my phone is

__________________________________________________ (mode/location.) e.g. ‘on silent under my pillow’.

In an average week I get ___________(hours/min) of physical activity. (Yes, walking to school counts.)

My typical school lunch includes ___________________________________________________________________________

My jobs and home chores are

Future

When I graduate Hamber I hope/plan to _________________________________________________________

My job ambitions _______________________________________________________________________________

I don’t have a/an ___________________ but want one because